In this post, let me try to give you some explanation to this inflation in the diagnosis of ADHD. You are welcome to choose the one that you like most.

1. The first explanation of this overuse of ADHD I described a few weeks ago in The ADHD Myth. In short, the definition of ADHD is so broad that almost every person in the world can be described as having attention deficit disorder at a curtain stage in life.
2. ADHD is genetic. All people carry the gene and it is recessive (it does not manifest itself) until someone finds it too hard to handle you.
3. ADHD is contagious. It is transmitted from the people around you through their attitude, so watch who you hang with.
4. Is easier to handle people to if you give them a label and put them in a box and ADHD seems like a good label. It is even an acronym. Actually, it is even a 4-letter word.
5. It is easier to get funding from governments and organizations if you present a growing need.
6. ADHD is a business. There is a lot of money in ADHD for the pharmaceutical companies, so they have a great interest in promoting it.
7. Parents prefer a diagnosis because it helps them with guilt feelings. Many parents with kids that are different and do not follow the "normal" definition of behavior (oh, that horrible word, "normal") feel that they are blamed by society for "making" their kids like that. If someone diagnoses them as having ADHD, it takes the blame away.
8. Being diagnosed with ADHD has many benefits for the child. It can be used as a great excuse to misbehave, be irresponsible and unsuccessful. I know many people who are desperately looking for such a great excuse.
9. If you have had a chance to read about kids' communication styles, you know by now that there are 4 different kinds of kids - Visual, Auditory, Kinesthetic and Digital. Many kinesthetic children need movement in order to think properly, and if their movement is limited, they will find unconventional ways to "move". Consider how kids are limited in their movement in daycare centers and schools and even at home. Just go to the playground at each school or kindergarten and hear what they say to the kids - "Don't run! Don’t jump, don't throw the ball". I sometimes wonder if people remember what a playground is for… Kids rock in their chairs, click their pens, fidget, talk to the person next to them and invent many other creative ways to keep their brains functioning. Along the way, they use up much of their energy and lose their concentration.As you can see from the length of this option, I believe that this is the main reason for the inflation in ADHD diagnoses.During my 22 years in education, each child I have ever worked with who was diagnosed with hyperactive behavior, ADD or ADHD was actually kinesthetic. I allowed them to move and in fact introduced them to activities that required them to move and, surprise, surprise, the problem disappeared. No medication, no brain surgery, no punishment and definitely not a feeling that something is wrong with them, so the "brain malfunction" disappeared.

   

   When I get kids for assessment with the suspicion of ADHD, I ask about their abilities in other areas. Brain malfunctions are consistent and affect the child in all areas. If a kid can concentrate one hour while doing something they love, but only 30 seconds doing something they hate, they do not have a concentration problem.

I would love to know what you think.
Please post your comments below.

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Visual kids have a combination video-and-still camera in their heads. They like to see things. Pictures, colors and visual representations of things are their main information carriers. These kids learn best and expresses themselves best using pictures, graphs and colors. To them, one picture really IS worth a thousand words.

Visual kids use colors, graphs and pictures to learn the sounds around them.

Here are some ideas that help visual kids learn better:

• Looking at colorful pictures and books - Choose books with lots of colorful pictures. However, watch out for comic books, because they create visual overload. Books with separate areas for text and picture are better
• Cutting pictures from a magazine - Some kids just like to keep their favorite clippings, sometimes in a special notebook of picture diary, show them off and look at them again from time to time
• Watching videos - Visual kids enjoy movies and videos with lots of color and movement
• Coloring - Nothing makes a visual child happier than adding color to some black and white lines
• Painting, drawing and making collages - Self explanatory, right?
• Decorating - Get your visual child to help choose decorations and then decorate the house, the yard, presents, the Christmas tree or anything else. They will tell you that what they do makes it look better
• Matching games - Stimulate your child’s visual ability with cards to match. Use color matching, shape matching, pattern matching and eventually letter and word matching games
• Taking pictures - With the advent of the digital camera, visual kids can run around the house and outside and take as many pictures as they like. They can even see them enlarged on the computer, show them off and share them easily with their loved ones
• Making videos - Same as above, if your digital camera can make short clips

Happy parenting,
Ronit

You may want to read

• How to Stimulate Auditory Kids
• How to Stimulate Digital Kids
• How to Stimulate Kinaesthetic Kids

With this great recognition of our ability to enhance intelligence, the two extreme parts of the bell curve - the children with the learning difficulties and the gifted children - became the center of attention. Those two seemingly unrelated ranges of ability require the same type of attention and multiple intelligences brought hope for improvement for both. A natural progression of that was the area of early diagnosis and early intervention. Should we diagnose learning difficulties during early childhood or will this put a label on them that is too hard to remove? Should we diagnose gifted children or will this doom them to isolation and social challenges? And once a special need is identified, should we intervene or just let nature take its course and allow the kids to “grow out of it”?

Each of the questions presents the choice between a reactive and a proactive approach. For government organizations, these questions are translated to the cost difference between the two, which then determines the approach. For teachers, however, critical time plays an important role in the choice.

Special Education is the field dealing with children and adults on the fringes of the bell curve. Unfortunately, most of the work with children with learning difficulties and with gifted children is dedicated to their emotional state - their frustration, their lack of confidence and the low self-esteem - rather than their cognitive abilities. Dealing with the expectations of society and its conformist intolerant approach is those children’s greatest challenge. It is the accumulation of “failure” or success experiences that will determine their likelihood to cross over to the “normal” side. The more frustrated they are with themselves, the longer it will take to convince them they have other intelligences they can use to compensate for their difficulty. Therefore, the younger they are, the less energy and resources we need to teach them to use an alternative intelligence. Because the expectations from teachers and children are high at school age and are set according to the middle of the curve, the years before school offer the best potential.

Helping young children by assessing their strengths and weaknesses at an early stage of their life allows us, their education agents, to minimize the number of failure experiences and equip them with techniques to process information in alternative ways. This skill, if also introduced to their parents, can improve the understanding of their needs and home-school collaboration throughout their life.

Although Gardner introduced eight intelligences - Musical, Kinesthetic, Logical-Mathematical, Spatial (Visual), Linguistic, Interpersonal (understanding others), Intrapersonal (understanding self) and Naturalist - Neurolinguistic Programming (NLP) presents a simpler version of the intelligences as four Communication Styles. In this model, which is very useful for special education teachers, each child has a unique way of processing information. Out of four options, the channel he (subconsciously) chooses to absorb information is considered his “gift” and the one he uses least is his weakness.

Initially, the population was divided into three channels: Kinesthetic (40%), Visual (40%) and Auditory (20%). Lately, a fourth style has been introduced, with an unknown spread in society, the Digital type.

Recognizing a child’s best way to process information can be used as an improvement tool for all children, but is crucial for “fringe” children. Children with learning difficulties, if assessed early enough, can be taught techniques to overcome their difficulties using their style and can reach school age at a “normal” level. Gifted children can be stimulated based on their preferred channel at an early stage and much attention can be given to ways of overcoming weaknesses using their gift.

Kinesthetic children are influenced by their physical world, their sensations and emotions. These kids need to move in order to process information. They prefer the outdoors and feel restricted when kept indoors for too long. Kinesthetics seem fidgety and the quality of their learning depends on how comfortable they feel and how much freedom they have to move around.

Auditory children have a tape recorder as a processing machine. They absorb information through sounds and like to talk and listen to conversations and music. These kids are sensitive to tones of voice and the quality of the information depends on the sounds around them. When using a loud or sharp tone of voice while communicating with an auditory child, his machine shuts down and this interferes with his ability to ‘record’ the information.

Visual children have a combination video-and-still camera in their heads. They like to see things. Pictures, colors and visual representations of things are their main information carriers. These kids learn best and expresses themselves best using pictures, graphs and colors. To them, one picture really IS worth a thousand words.

Digital children have computers in their heads. They need a lot of information — details, facts and numbers - in order to “think.” They also need time to analyze information and must process it through understanding. Quick changes, especially major ones, can be unsettling for digital kids. The quality of their learning depends on the logic, the process and the structure of the activity.

Each child uses all four styles in his learning, but absorbs most of the information using one primary and one secondary channel. In an era when the information load is so extreme, many young children are forced to spend most of their energy on sifting a billion pieces of information a second and then processing and storing them as meaningful knowledge.

The school system focuses on the larger section of the bell curve - the “normal” or “average” children. This focus limits teachers’ ability to support the extremes. Due to critical time, there is an added benefit to diagnosing in the years prior to Prep. We can take advantage of the freedom early childhood teachers still have, with fewer children in each class, fewer benchmarking tests and an assistant, to give more attention to the “fringe” children and support them in using their strengths and overcoming their weaknesses.

The ways in which we can support children with learning difficulties and gifted children depends on time, much like there is a difference in treating any medical condition. When diagnosed late, the treatment is very much reactive. When diagnosed early, development is very much proactive. A proactive approach allows planning, good use of the preschool space, more time and better child-teacher ratio, added bonus of parent involvement and maybe the most important part is taking advantage of our ability to provide success experiences at a critical time and provide children with a solid foundation for years to come.

This article was first published in the Early Childhood Teacher's Association magazine, following my presentation at the association's annual conference.

You may want to read

• How to Stimulate Auditory Kids
• How to Stimulate Digital Kids
• How to Stimulate Kinaesthetic Kids